Influenza situation in the Eastern Mediterranean Region: W45/2021 (from 07/11/2021 to 13/11/2021): source of data: EMFLU Network and FLUMART

Flu A: seasonal H3N2 1390 (60) 513 (79) Table 1. Type and number of influenza viruses detected from W33/2020 to W45/2021 and during the last four weeks Virus type W33/2020-W45/2021 Last 4 weeks Number (%) Number (%) Flu B 626 (27) 16 (2) Flu A: Unsubtyped 211 (9) 78 (12) Flu A: H5N1 8 (0) Total 2327 653 Influenza situation in the Eastern Mediterranean Region W45/2021 (from 07/11/2021 to 13/11/2021) Figure 1. Number of positive influenza cases and influenza positivity rate per week, 2020-2021 Figure 2. Percentage of circulating virus type by positive influenza cases W33/2020 - W45/2021 Last 4 weeks Flu A: A(H1N1)pdm09 92 (4) 46 (7) Source of data : EMFLU Network and FLUMART 0 10 20 30 40 50 60 70 80 90 100 0 50 100 150 200 250 300 W 0 1 W 0 2 W 0 3 W 0 4 W 0 5 W 0 6 W 0 7 W 0 8 W 0 9 W 1 0 W 1 1 W 1 2 W 1 3 W 1 4 W 1 5 W 1 6 W 1 7 W 1 8 W 1 9 W 2 0 W 2 1 W 2 2 W 2 3 W 2 4 W 2 5 W 2 6 W 2 7 W 2 8 W 2 9 W 3 0 W 3 1 W 3 2 W 3 3 W 3 4 W 3 5 W 3 6 W 3 7 W 3 8 W 3 9 W 4 0 W 4 1 W 4 2 W 4 3 W 4 4 W 4 5 W 4 6 W 4 7 W 4 8 W 4 9 W 5 0 W 5 1 W 5 2 W 5 3 P er ce n ta g e o f p o si ti v e ca se s (% ) N u m b er o f p o si ti v e in fl u en za c a se s Epi week Number of positive influenza cases - 2020 Number of positive influenza cases - 2021 Percentage of positive cases (%) - 2020 Percentage of positive cases (%) - 2021 4% 60%9% 0% 27% Flu A: A(H1N1)pdm09 Flu A: seasonal H3N2 Flu A: Unsubtyped Flu A: H5N1 Flu B 7% 79% 12% 2% Flu A: A(H1N1)pdm09 Flu A: seasonal H3N2 Flu A: Unsubtyped Flu B WHO-EM/CSR/477/E 1/2 Flu B Flu A (H1N1)pdm0 9 Flu A (H3N2) Flu A (Not- subtyped) Flu A: H5N1 Number (%) (-) 32 (40) (-) (-) 49 (60) (-) (-) 3 (30) (-) 7 (70) (-) 266 (87) (-) (-) 39 (13) (-) 192 (86) 25 (11) (-) 5 (2) (-) 5 (36) (-) 8 (57) 1 (7) 1 (33) 2 (67) (-) (-) (-) (-) (-) (-) (-) (-) (-) 65 (100) (-) (-) (-) (-) (-) (-) (-) (-) 42 (22) 135 (70) (-) (-) 15 (8) (-) 245 (62) (-) (-) 149 (38) 15 (2) 355 (55) 159 (25) (-) 112 (17) 1 (1) (-) 24 (21) (-) 92 (79) (-) (-) (-) (-) (-) (-) 18 (100) (-) (-) (-) (-) (-) (-) (-) (-) 4 (17) 18 (75) (-) (-) 2 (8) 63 (3) 1333 (64) 211 (10) 8 (0) 471 (23) (-) 18 (2) (-) 24 (2) 50851 (96) 2086 (4) 394 (5) 641 (7) 117 (3) 13 (100) 1038 (100) 280 (100) 1295 (100) 10 (3) 305 (4) 222 (6) 14 (2) 3 (0) (-) 65 (2) (-) 192 (4) 745 (100) 4657 (100) (-) 3450 (100) 122 (100) 5295 (99) 7393 (100) 8736 (100) 4235 (70) Syrian Arab Republic 1039 280 1295 © World Health Organization 2021. Some rights reserved. This work is available under the Creative Commons Attribution-Non Commercial-Share Alike 3.0 IGO license (CC BY-NC-SA 3.0 IGO; https://creativecommons.org/licenses/by-nc- sa/3.0/igo). Total United Arab Emirates Tunisia 52944 7131 3633 745 333 (98) 7131 (100) 3633 (100) Sudan Saudi Arabia Qatar Pakistan Oman Morocco Lebanon Kuwait Jordan 4657 140 3450 122 5332 7383 8736 6044 13 Figure 3. Comparison of respiratory pathogens detected from tested specimens by last 12 weeks Table 2. Reported cases by country during W01-W45/2021 Figure. 4 Age group distribution of influenza cases by virus type in the Region from W33/2020 to W45/2021 Iraq Iran (Islamic Republic of) Egypt Bahrain Afghanistan Positive cases Number of enrolled cases Tested cases number (%) Infuenza positive cases number (%) Flu A Country 2604 2495 (96) 81 (3) 340 0 50 100 150 200 250 300 350 2020 2021 2020 2021 2020 2021 2020 2021 2020 2021 2020 2021 2020 2021 2020 2021 2020 2021 2020 2021 2020 2021 2020 2021 W34 W35 W36 W37 W38 W39 W40 W41 W42 W43 W44 W45 N u m b er o f p o si ti v e in fl u en za c a se s Flu A: A(H1N1)pdm09 Flu A: seasonal H3N2 Flu A: Unsubtyped Flu B 0 50 100 150 200 250 300 350 Less than 2 years 2 years to less than 5 years 5 years to less than 15 years 15 years to less than 50 years 50 years to less than 65 years 65 years and above N u m b er o f p o si ti v e in fl u en za c a se s Age group Flu A: A(H1N1)pdm09 Flu A: seasonal H3N2 Flu A: Unsubtyped Flu B 2/2